Active NPI
Waleed M El-Hitamy, OD
- Optometrist
- Lakeway, TX
National Provider Identifier
1407821903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 05900T
- Practice address
- 900 Ranch Road 620 S
B112
Lakeway, TX 78734-5615 - Phone
- (512) 263-0225
- Fax
- (512) 263-8590
- NPI assigned
- Feb 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 05900T | TX | Primary |
Addresses
Primary practice location
900 Ranch Road 620 S
B112
Lakeway, TX 78734-5615
Mailing address
900 Ranch Road 620 S
B112
Lakeway, TX 78734-5615
Phone (512) 263-0225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05900T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeway Eye Center PC | Optometrist | Current | Accepting new patients |
| Mozdbar Eyecare PLLC | Optometrist | Past | Accepting new patients |
Locations
900 Ranch Road 620 S
Ste B112
Lakeway, TX 78734
Phone (512) 263-0225
900 Ranch Road 620 S
Lakeway, TX 78734
Phone (512) 263-0225
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Lakeway, TX
- NPI 1942221619
-
- Optometrist
- Lakeway, TX
- NPI 1114741501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1407821903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 RANCH ROAD 620 S",
"address_2": "B112",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787345615",
"telephone_number": "512-263-0225",
"fax_number": "512-263-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 RANCH ROAD 620 S",
"address_2": "B112",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787345615",
"telephone_number": "512-263-0225",
"fax_number": "512-263-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-HITAMY",
"first_name": "WALEED",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "05900T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.